2.50
Hdl Handle:
http://hdl.handle.net/10755/162437
Type:
Presentation
Title:
Trials and Tribulations Surrounding Nursing Research in an ED
Abstract:
Trials and Tribulations Surrounding Nursing Research in an ED
Conference Sponsor:Emergency Nurses Association
Conference Year:2011
Author:Pfieffer, Jennifer, RN, MSN
P.I. Institution Name:A.I. duPont Hospital for Children
Title:ED Staff Registered Nurse
Contact Address:1600 Rockland Road, Wilmington, DE, 19803, USA
Co-Authors:Rhonda Milligan, RN, BSN; Kathlyn Wade, RN, BSN
[ENA Leadership Conference] Evidence-based Practice Presentation: Trials and Tribulations Surrounding Nursing Research in an Emergency Department

Purpose: This poster describes one ED's struggle with implementing a staff nurse driven research study and shares lessons learned. There were many barriers that prevented a study from being completed in an ED. The study needed to involve the patient's primary nurse to help identify possible study participants.

Design: Using a qualitative approach, the investigators of the study designed, implemented, and evaluated strategies to increase study enrollment.

Setting: A tertiary, pediatric, freestanding ACS designated level 2 trauma center in the northeastern US.

Participants/Subjects: All study investigators participated in the process. They were staff nurses who were also involved in direct patient care with a full patient assignment during the recruitment, consent, and research process.

Methods: To increase enrollment, the investigators identified and implemented many strategies including: a research icon on the tracking board; brightly colored paper placed on the chart in triage; reminder posters were placed in strategic locations around the ED; the investigators were identified each shift; cafeteria vouchers were given for each completed enrollment; and additional investigators were trained to increase opportunity for enrollment on all shifts. The strategies were then evaluated.

Results/Outcome: The strategies helped but did not significantly boost enrollment. The investigators identified multiple barriers of the staff nurse driven research project in their busy ED. The eight barriers included: all investigators were included in staffing limiting time to dedicate to the research study; introduction of a new computer system eliminated the availability of an icon used to identify potential subjects; very high volume due to influenza and unpredictable patient flow; changes to IRB regulations which prohibited use of a reward system for enrollment incentives; lack of support from RNs and MDs who believed that study participation caused delays in care; inexperience with use of a computerized IRB system which resulted in loss of several enrolled patients; low staff motivation from staff nurses to participate in research; and lack of communication among staff. Solutions include: 1) have an investigator available for each shift independent of patient care; 2) utilize electronic patient track board to identify study candidates; 3) keep track of pertinent expiration dates on forms; 4) create a reward system consistent with IRB guidelines; 5) educate staff on the benefits of nursing research to increase staff support; 6) be sure all investigators are highly motivated to participate before training; and, 7) seek a grant to fund investigator time from a reputable pharmaceutical company.

Implications: Nursing based research is a key component in improvement of patient care. Losing passion for research due to these barriers hinders the potential to advance nursing knowledge. Most importantly it is imperative for the nurses involved in research studies and their employers to find creative solutions to help overcome these barriers to help make research projects successful.

Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleTrials and Tribulations Surrounding Nursing Research in an EDen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162437-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Trials and Tribulations Surrounding Nursing Research in an ED</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Pfieffer, Jennifer, RN, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">A.I. duPont Hospital for Children</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">ED Staff Registered Nurse</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1600 Rockland Road, Wilmington, DE, 19803, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jpfieffe@nemours.org, jennyerin19793@yahoo.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Rhonda Milligan, RN, BSN; Kathlyn Wade, RN, BSN</td></tr><tr><td colspan="2" class="item-abstract">[ENA Leadership Conference] Evidence-based Practice Presentation: Trials and Tribulations Surrounding Nursing Research in an Emergency Department<br/> <br/>Purpose: This poster describes one ED's struggle with implementing a staff nurse driven research study and shares lessons learned. There were many barriers that prevented a study from being completed in an ED. The study needed to involve the patient's primary nurse to help identify possible study participants. <br/> <br/>Design: Using a qualitative approach, the investigators of the study designed, implemented, and evaluated strategies to increase study enrollment. <br/> <br/>Setting: A tertiary, pediatric, freestanding ACS designated level 2 trauma center in the northeastern US.<br/> <br/>Participants/Subjects: All study investigators participated in the process. They were staff nurses who were also involved in direct patient care with a full patient assignment during the recruitment, consent, and research process. <br/> <br/>Methods: To increase enrollment, the investigators identified and implemented many strategies including: a research icon on the tracking board; brightly colored paper placed on the chart in triage; reminder posters were placed in strategic locations around the ED; the investigators were identified each shift; cafeteria vouchers were given for each completed enrollment; and additional investigators were trained to increase opportunity for enrollment on all shifts. The strategies were then evaluated. <br/> <br/>Results/Outcome: The strategies helped but did not significantly boost enrollment. The investigators identified multiple barriers of the staff nurse driven research project in their busy ED. The eight barriers included: all investigators were included in staffing limiting time to dedicate to the research study; introduction of a new computer system eliminated the availability of an icon used to identify potential subjects; very high volume due to influenza and unpredictable patient flow; changes to IRB regulations which prohibited use of a reward system for enrollment incentives; lack of support from RNs and MDs who believed that study participation caused delays in care; inexperience with use of a computerized IRB system which resulted in loss of several enrolled patients; low staff motivation from staff nurses to participate in research; and lack of communication among staff. Solutions include: 1) have an investigator available for each shift independent of patient care; 2) utilize electronic patient track board to identify study candidates; 3) keep track of pertinent expiration dates on forms; 4) create a reward system consistent with IRB guidelines; 5) educate staff on the benefits of nursing research to increase staff support; 6) be sure all investigators are highly motivated to participate before training; and, 7) seek a grant to fund investigator time from a reputable pharmaceutical company.<br/> <br/>Implications: Nursing based research is a key component in improvement of patient care. Losing passion for research due to these barriers hinders the potential to advance nursing knowledge. Most importantly it is imperative for the nurses involved in research studies and their employers to find creative solutions to help overcome these barriers to help make research projects successful. <br/><br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:28:12Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:28:12Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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